An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: Makes changes to the state plan to differentiate payments for routine home care based on length of stay and to implement a service intensity add-on payment.
Summary: This SPA adds dentists and dental hygienists with an expanded practice permit to supervise non-licensed health workers under the Medicaid State Plan.
Summary: Updates the single state agency description and organizational charts in accordance with the Affordable Care Act under the Medicaid State Plan.
Summary: Amends the Alternative Benefit Plan to partially restore dental benefits for non-pregnant adults, restore coverage of dentures and crowns for adults and more frequently covered scaling and root planning for adults.
Summary: This SPA changes the retroactive effective date of eligibility for all eligibility groups except Qualified Medicare Beneficiaries from the date of eligibility/application to the first day of the month of eligibility/application under the Medicaid State plan.
Summary: Modifies Reimbursement Methodology for Inpatient Hospital Services by Adopting the All Patient Refined (APR) Diagnosis Related Group (DRG) Grouper, Version 30 & Implementing Updated Inpatient DRG Relative Weights & Payment Rates.
Summary: This State Plan amendment makes conforming changes to the SPA to extend the current three percent (3%) rate reduction for nursing facilities that is currently set to expire on June 30, 2015. This rate reduction will be extended for the period July 1, 2015 through June 30, 2017.
